Sample Workplace Violence Checklist
The following items serve merely as an exam pie of what might be used or modified by employers to help prevent workplace violence.
This checklist helps identify present or potential workplace violence problems. Employers also may be aware of other serious hazards not listed here.
Designated competent and responsible observers can readily make periodic inspections to identify and evaluate workplace security hazards and threats of workplace violence. These inspections should be scheduled on a regular basis; when new, previously unidentified security hazards are recognized; when occupational deaths, injuries, or threats of injury occur; when a safety, health and security program is established; and whenever workplace security conditions warrant an inspection.
Periodic inspections for security hazards include identifying and evaluating potential workplace security hazards and changes in employee work practices which may lead to compromising security. Please use the following checklist to identify and evaluate workplace security hazards. TRUE notations indicate a potential risk for serious security hazards:
- T___ F ___ This industry frequently confronts violent behavior and assaults of staff.
- T___ F ___ Violence occurs regularly where this facility is located.
- T___ F ___ Violence has occurred on the premises or in conducting business.
- T___ F ___ Customers, clients, or coworkers assault, threaten, yell, push, or verbally abuse employees or use racial or sexual remarks.
- T___ F ___ Employees are NOT required to report incidents or threats of violence, regardless of injury or severity, to employer.
- T___ F ___ Employees have NOT been trained by the employer to recognize and handle threatening, aggressive, or violent behavior.
- T___ F ___ Violence is accepted as part of the job by some managers, supervisors, and/or employees.
- T___ F ___ Access and freedom of movement within the workplace are NOT restricted to those persons who have a legitimate reason for being there.
- T___ F ___ The workplace security system is inadequate - i.e., door locks malfunction, windows are not secure, and there are no physical barriers or containment systems.
- T___ F ___ Employees or staff members have been assaulted, threatened, or verbally abused by clients and patients.
- T___ F ___ Medical and counseling services have NOT been offered to employees who have been assaulted.
- T___ F ___ Alarm systems such as panic alarm buttons, silent alarms, or personal electronic alarm systems are NOT being used for prompt security assistance.
- T___ F ___ There is NO regular training provided on correct response to alarm sounding.
- T___ F ___ Alarm systems are NOT tested on a monthly basis to assure correct function.
- T___ F ___ Security guards are NOT employed at the workplace.
- T___ F ___ Closed circuit cameras and minors are NOT used to monitor dangerous areas.
- T___ F ___ Metal detectors are NOT available or NOT used in the facility.
- T___ F ___ Employees have NOT been trained to recognize and control hostile and escalating aggressive behaviors, and to manage assaultive behavior.
- T___ F ___ Employees CANNOT adjust work schedules to use the Buddy system for visits to clients in areas where they feel threatened.
- T___ F ___ Cellular phones or other communication devices are NOT made available to field staff to enable them to request aid.
- T___ F ___ Vehicles are NOT maintained on a regular basis to ensure reliability and safety. Employees work where assistance is NOT quickly available.